Active NPI
Kathryn Brown, NP
- Nurse Practitioner
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704310984
- Practice address
- 625 Kenmoor Ave SE Ste 350
Grand Rapids, MI 49546-2395 - Phone
- (989) 750-8511
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704310984 | MI | Primary |
Addresses
Primary practice location
625 Kenmoor Ave SE Ste 350
Grand Rapids, MI 49546-2395
Mailing address
625 Kenmoor Ave SE # Seste350
Grand Rapids, MI 49546-2395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1135 W University Dr
Suite 175
Rochester, MI 48307-1893
Phone (248) 650-5861
400 Renaissance Ctr
Suite 2600
Detroit, MI 48243-1599
Phone (810) 841-9077
8645 Founders Rd
Indianapolis, IN 46268-1336
Phone (810) 841-9077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialists in Rehabilitation Medicine PC | Current | Accepting new patients | |
| Reability Health PLLC | Nurse Practitioner | Current | Accepting new patients |
| Post Acute Physician Care PC | Nurse Practitioner | Current | Accepting new patients |
| Applebaum Physiatry PLLC | Gerontology | Current | Accepting new patients |
| Nursing Home Physician Group PLLC | Past | Accepting new patients |
Locations
2001 Midwest Rd
Ste 100
Oak Brook, IL 60523
Phone (630) 426-9501
128 S East St
Unit 1109
Crown Point, IN 46308
8645 Founders Rd
Indianapolis, IN 46268
Phone (317) 872-4444
2975 N Adams Rd
Bloomfld Hls, MI 48304
Phone (248) 645-2900
9640 Commerce Rd
Ste 202
Commerce Twp, MI 48382
Phone (248) 360-8660
400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582
2520 Lake Michigan Dr NW
Grand Rapids, MI 49504
Phone (616) 735-4541
625 Kenmoor Ave SE
Ste 350
Grand Rapids, MI 49546
Phone (248) 243-1911
1135 W University Dr
Ste 175
Rochester Hls, MI 48307
Phone (248) 650-4738
14151 15 Mile Rd
Sterling Hts, MI 48312
Phone (586) 939-0200
801 W Big Beaver Rd
Ste 300
Troy, MI 48084
Phone (248) 658-8424
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Rochester, MI
- NPI 1336114537
-
- Internal Medicine Physician
- West Bloomfield, MI
- NPI 1841076031
Nurse Practitioner
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
Gerontology, MI
-
- Physical Medicine & Rehabilitation Physician
- Warrenville, IL
- NPI 1417703844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1225601131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE # SESTE350",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 350",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395",
"telephone_number": "989-750-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KATHRYN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704310984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.